Teams at Qualifacts Systems

Investigate and resolve denied claims, analyze denial trends, conduct payer follow-ups and escalations, prepare and submit appeals, collaborate with teams to address root causes, and maintain documentation to improve reimbursements.

Investigate and resolve complex claim denials, analyze denial trends, lead payer escalations, prepare and track appeals, collaborate with teams to address root causes, monitor accounts receivable, and maintain documentation to improve reimbursement and reduce denial rates.

Lead a backend-focused engineering team owning delivery, quality, hiring, and team health. Drive performance management, partner with product and clinical stakeholders, make architecture decisions, remove blockers, and maintain technical standards.